Remote Prior Authorization Specialist

Summary

Join us as a dynamic and rapidly expanding company dedicated to providing innovative technology solutions and services tailored to our clients' needs. We are in search of experienced associates and partners who exude confidence and possess expertise in areas aligned with our clients' requirements.

Requirements

• 2+ years of experience in healthcare administration or prior authorization processes in radiology
• Experience reviewing and processing prior authorization requests for medical procedures and services
• Ability to collaborate with healthcare providers and payers to resolve prior authorization issues and appeals

Responsibilities

• Contacting payors for eligibility and benefit information to include authorization requirements
• Obtain prior authorizations and pre-certifications
• Submit complete and accurate authorization requests
• Follow up and resolve pending authorization requests
• Maintain documentation of authorization activity
• Stay current on payer prior authorization requirements

Preferred Qualifications

Medical Assistant Certification or 5 years experience in a providers office setting processing prior authorizations is preferred but not required

Benefits

• Flexible work hours when possible
• Access to a 401(k) Retirement Savings Plan
• Comprehensive Medical, Dental, and Vision Coverage
• Paid Time Off
• Paid Holidays
• Pet Care Coverage
• Employee Assistance Program (EAP)
• Discounted services